HomeMy WebLinkAboutPermit Building 2008-3-10
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00189
ISSUED: 03/10/2008
APPLIED: 02/07/2008
EXPIRES: 09/10/2008
VALUE: $ 56,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4171 FORSYTHIA ST
ASSESSOR'S PARCEL NO.: 1802052200406
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Family Room & Garage Addition
TYPE OF USE: Addition
Residential
Owner: BLOOD JOSEPH D & DARLA J
Address: 4171 FORSYTHIA ST
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Mechanical
I CONTRACTORINFORMA nON I
Contractor
TOM WIRFS ENTERPRISES INC
BILLS ELECTRIC
HOME COMFORT HEATING & AIR
License
32947
21351
84164
BUILDING INFORMATION I
# of Units: . 1 # of Stories: 1
Primary Occupancy Group: R-3 Height of Structure 19.00
Secondary Occupancy Group: i U Type of Heat: . orced Air Electric
Primary Construction Type ATTEN'HbN: Or'egoi\'ll:\WIf9IWjreS you.t.O Electric
Secondary Construction Typefollow rules adoptecJll1yttN~egon UtIlity Electric
# of Bedrooms: Notificatio1l Center. TJWJseID:JlmlBre set forth Path 1
. in OAR ~52-001-??t1a~.~~~j~~~a~; n/a
vu~v. IUU III'-'L"'~ .\... ~ -.
. calling the b.~E~~BM'lINJW1RMA TION I
number for the uregoll vumy ...vull.."U.....
Center is 1 ~800-332-2~4).
Overlay Dlst:
10.00 # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
33.00
0.00
Expiration Date
06/29/2008
04/28/2008
06/25/2011
Phone
541-7.47-8704
541-501-5650
541-345-2838
Lot Size:
Sq Ft 1st Floor: 400
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 500
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
FulNfiltACied' , Sidewalk Type:
THIS PERMIT SHALL EXPIRE IF THE ~a\tpoutS/Drains:
Connect the~mrf!)euN~~if~t61iRMlt It)Wdown spouts
COMMENCED OR IS ABANDONED FOR
ANY"180 DAY PERIOD. .
Pal!:e 1 of3
Curbside 5'
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00189
ISSUED: 03/10/2008
APPLIED: 02/07/2008
EXPIRES: 09/10/2008
VALUE: $ 56,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellin2s
Gara2e
Tvpe of Construction
V Wood Frame
Gara2e
, $ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
400.00
500.00
Value
Date <;=alculated
02107/2008
02/07/2008
Description
Total Value of Project
$42,000.00
$14,000.00
$56,000.00
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $282.15 2/7/08 12008000QOOOOOOO114
-Mechanical Issuance Fee- $20.00 3/10/08 1200800000000000218
+ 10% Administrative Fee $63.51 3/10/08 1200800000000000218
+ 12% State Surcharge $70.81 3/10/08 1200800000000000218
+ 5% Technology Fee $35.30 3/10/08 1200800000000000218
Add, Alter, Extend Circ $48.00 3/10/08 1200800000000000218 .
Add, Alter, Extend Circ Ea Add $8.00 3/10/08 1200800000000000218
Building Permit. $434.08 3/10/08 1200800000000000218
Fire SF Fee - Residential $45.00 3/10/08 1200800000000000218
Not Covered Mechanical $50.00 3/10/08 1200800000000000218
Plan Review Minor - Planning $116.00 3/10/08 1200800000000000218
SDC Sanitary/Storm Admin $19.34 3/10/08 1200800000000000218
Storm Drainage Impervious Area $386.85 3/10/08 1200800000000000218
Storm Sewer - 1st 50 Feet $50.00 3/10/08 1200800000000000218
Total Amount Paid $1,629.04
I Plan Reviews I
Initial Review
02107/2008
02/07/2008
APP NJM
Public Works Review
02/07/2008
02/1212008
APP BRC
SDC Worksheet attached. BC
Structural Review
02/07/2008
03/05/2008
APP DLM
See documents for Plan review
,comments
Plannin2 Review
02107/2008
03/06/2008
APP TAJ
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00189
ISSUED: 03110/2008
APPLIED: 02/07/2008
EXPIRES: 09/1 0/2008
VALUE: $ 56,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Reauired InsDections I
. Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete. .
Storm Sewer Line: Prior to filling trench.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the ,City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
time, dur;ng cun~ 3 k(? J, ,r
Owner or Contractors Signature Dit'e I
Pa2e 3 of 3
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
. ELECTRICALPERMl1' APPLICATION
City Job Number 1.AJ4? ~~ - aJ/ /!J .,
Date
1. LOCATION OFJNSTALLA1'ION: 3. COMPLETE FEE SCHEDULE B}<'"LOW
. 4/7/ ~~tn1-ITA .~
LEGAL DESCRIPTION: / . A. New Residential- Single.or Multi-Family per dwelling unit.
/ Il>CJ 2.. t!) 'S 2.. LA/!) ~C;; Service Included
JOB DESCRIPTION:
1000 sq. ft. or less $117.00
Each addi.tieR~.500"sIl' fLor. .
rf t~: I I'H rU''I:-oregon law reqUires S'9\J ill?
po IOn TOn.~ r~les adopted by the 0, t:l:Ivn Utllify
Each rvNRttmooaMnSelJrer; Those rules are set forth
Moduldfl~iag:&ooictOW1'~ thro~gh ~AR ~Q&1.
FeederOO~O. You may obtam C~tJl"'i;) uliherures by
. calling the center. (Note: the telephone
B. ServimJl'nb~lfbtr~hel ~"~l!J.trtiWrWRfI~cWi&flocation:
. . Center is 1-800-332-2344).
200 Amps or less . $ 70.00
201 Amps to 400 Amps $ 83.00
401 Amps to 600 Amps $138.00
601 Amps to 1000 Amps . $180.00
Phone S'IlS of s~r'c Ove\\/ROPI'~pp'sNolts $413.00
Rec,6MM~t ~rffY . $ 55.00
THIS PERMIT SHALL EXPIRE IF THE WORK
c. T:rh'PJr.6h~~dJ~EmelilMS PERMIT IS NOT
'-:OfV'IMENCED OR IS ABANDONED FOR
Instan~tioA~ ~IYl\~tip"1[ p~ ~.ocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
~6?,r~ Ai>>~)
Permits are non-transferable and expire if work is
not started within 180 days of issuance or ifwork is
Suspended for 180 days.
. 2. CONTRACTOR INSTALLATION ONLY
Electrical C~ntractor H / U' s
--... .
Address ,55 7'7 S 0
2.,.,&1
(
~:/
Cl~ Lt7 'Dr
City
Supervisor License Number
CfRD
,\,
Expiration Date I 0 - l.- 0 7
Constr. Contr. Number ';:) ( 3 S (
Expiration Date 4L.?- V-I1?
~';;;:;;;l~f~
OwneffiNome ~/I;~
Address 4( 7t,~fr17l7/'f
City 5!p) '?f26hone .
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:.
,
Inspection Request: 726-3769
$ 55.00
$ 76.00
$110.00
Over 690 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit I
Each Additional Circuit or with
Service or Feeder Permit --.2-
$ 48.00
$ 4.00
4-sH
~k>
E; Miscellaneous fjService/feeder not included) -Each Installation
~ . .
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
.. Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50.00
Minimu~ Electric Permit Inspection Fee is $50.00 + Surcharges'
4. SUBTOTAL OF ABOVE
5~ .b-~
C:n , z..
~60
2- . f/e
7/, /2-
Shared Drive(1":)IBuilding FonnslElectrical Pennit Application 7.07.doc .
I U% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
225 Eiftb Street
Springfield, Oregon 97477
541-726-3759 Pbone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00 189
COM2008-00 189
COM2008-00 189
COM2008-00 189
COM2008-00 189
COM2008-00189
COM2008-00 189
COM2008-00 189
COM2008-00 189
COM2008-00 189
COM2008-00 189
COM2008--00 189
COM2008-00 189
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
1200800000000000218
Date: 03/10/2008
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Building Permit
Storm Sewer - 1st 50 Feet
Not Covered M,echanical
-Mechanical Issuance Fee-
Plan Review Minor - Planning
Fire SF Fee - Residential
Add, Alter, Extend Circ
Add, Alter; Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
I'
Paid By
TOM WIRFS ENT
Item Total:
Check Number Authorization
Batch Number Number How Received
085653 In Person
Payment Total:
Received By
d'b
. ~
Page 1 of I
2:26:10PM
Amount Due
386.85
19.34
434,08
50.00
50.00
20.00
116.00
45.00
48.00
8.00
35.30
70.81
63.51
$1,346.89
Amount Paid
$1,346.89
$1,346.89
3/10/2008